Legacy Spine And Sport Llc is a medicare enrolled "Chiropractor" provider in Reedsville, Wisconsin. Their current practice location is
106 Mill St, Reedsville, Wisconsin. You can reach out to their office (for appointments etc.) via phone at
(920) 901-3382.
Legacy Spine And Sport Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Legacy Spine And Sport Llc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1669240073.
Healthcare Provider's Profile
Full Name | Legacy Spine And Sport Llc |
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Type | Facility |
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Speciality | Chiropractor |
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Location | 106 Mill St, Reedsville, Wisconsin |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1669240073
- Provider Enumeration Date: 12/14/2023
- Last Update Date: 04/19/2024
Medicare PECOS Information:
- PECOS PAC ID: 6204271562
- Enrollment ID: O20240227002453
Medical Identifiers
Medical identifiers for Legacy Spine And Sport Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1669240073 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111N00000X | Chiropractor | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Legacy Spine And Sport Llc acts as a billing entity for following providers:
Provider Name | Colby Kasten |
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Provider Type | Practitioner - Chiropractic |
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Provider Identifiers | NPI Number: 1417652025 PECOS PAC ID: 6103261466 Enrollment ID: I20240227002556 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Legacy Spine And Sport Llc is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Legacy Spine And Sport Llc 106 Mill St, Reedsville, WI 54230-1700 Ph: (920) 588-7171 | Legacy Spine And Sport Llc 106 Mill St, Reedsville, WI 54230-1700 Ph: (920) 901-3382 |
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